Singh Archna, Gupta Vidhu, Ghosh Arpita, Lock Karen, Ghosh-Jerath Suparna
Indian Institute of Public Health-Delhi, Public Health Foundation of India, Plot No. 47, Sector-44, Gurgaon 122002 Haryana, India ; All India Institute of Medical Sciences, Delhi, India.
Public Health Foundation of India, Haryana, India.
BMC Nutr. 2015 Oct 14;1:22. doi: 10.1186/s40795-015-0018-6.
The nutritional landscape of India is experiencing the fallout of urbanization and globalization. The changes are manifest in dietary patterns as well as health outcomes. The study aimed at assessing household dietary intake pattern with special emphasis on snacking pattern, anthropometric and lipid profiles in low socio-economic status households in an urban slum of Delhi.
Community based cross-sectional study in 260 households of a purposively selected urban slum in North-East district of Delhi, India. Family dietary surveys including consumption pattern of commercial food products rich in Partially Hydrogenated Vegetable Oils (PHVOs), 24 h dietary recall and assessment of dietary diversity using Household Diet Diversity Scores (HDDS) were done. Assessment of nutritional status using anthropometric and lipid profile on a subsample ( =130) were also conducted.
Median energy and fat intake were adequate. Micronutrient intake was found to be inadequate for vitamin A, riboflavin, calcium and folate. usage was low (<20 % households). Milk (39 %), green leafy vegetables (25 %) and fruits (25 %) intake were below recommendations. Mean HDDS was 7.87. Prevalence of overweight/obesity was high (66.7 %). Lipid profile showed mean HDL-C levels lower than recommendations for females.
Community based awareness programs for prevention of non-communicable diseases should incorporate healthy diet and lifestyle practices with emphasis on quantity and quality of nutrient intake. This must be considered as an integral part of chronic disease prevention strategy for underprivileged communities in urban India.
印度的营养状况正经历城市化和全球化的影响。这些变化体现在饮食模式以及健康结果上。该研究旨在评估德里一个城市贫民窟中社会经济地位较低家庭的家庭饮食摄入模式，特别强调零食模式、人体测量和血脂状况。
在印度德里东北部地区一个经过有目的选择的城市贫民窟的260户家庭中开展基于社区的横断面研究。进行了家庭饮食调查，包括富含部分氢化植物油（PHVO）的商业食品的消费模式、24小时饮食回顾以及使用家庭饮食多样性评分（HDDS）评估饮食多样性。还对一个子样本（n = 130）进行了人体测量和血脂状况的营养状况评估。
能量和脂肪摄入量中位数充足。发现维生素A、核黄素、钙和叶酸的微量营养素摄入量不足。PHVO的使用率较低（<20%的家庭）。牛奶（39%）、绿叶蔬菜（25%）和水果（25%）的摄入量低于推荐量。平均HDDS为7.87。超重/肥胖患病率较高（66.7%）。血脂状况显示女性的平均高密度脂蛋白胆固醇（HDL-C）水平低于推荐值。
基于社区的非传染性疾病预防意识项目应纳入健康饮食和生活方式实践，重点关注营养素摄入的数量和质量。这必须被视为印度城市贫困社区慢性病预防策略的一个组成部分。
